Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Entrance / Foyer / Lobby

  • Fire exits clear of obstruction?

  • Action required or taken?

  • Light fittings in sound condition?

  • Action required or taken?

  • Globes or tubes require replacing?

  • Provide location details...

  • Floor surface in sound condition?

  • Add media

  • Action required or taken?

  • Furniture in sound condition?

  • Add media

  • Action required or taken?

  • Internal and external windows and sills clean?

  • Add media

  • Action required or taken?

  • Notes:

Tea points / Kitchens

  • Floor or Level...

  • Check recycling, non recycling & organic waste bins are provided. Bin liners, signage in place?

  • Action required?

  • Add media

  • Bench tops / cupboards are in sound condition?

  • Action required?

  • Add media

  • Tables and chairs are in sound condition?

  • Action required?

  • Add media

  • Floor coverings in sound condition and clean?

  • Action required?

  • Add media

  • Appliances are in sound condition? Electrical appliances tested and tagged and current?

  • Action required?

  • Add media

  • Light fittings in sound condition? Globes / lamps require replacement?

  • Action required?

  • Add media

  • Notes:

Bathrooms / Toilets

  • Check for any obstructions to door. Is door closer in sound condition?

  • Action required?

  • Add media

  • Hand dryer operational? Soap dispenser in sound condition? Toilet paper and hand towel consumables supplied? Waste bin supplied?

  • Action required?

  • Add media

  • Any globes / tubes require replacing?

  • Action required?

  • Add media

  • Notes:

Meeting/Quiet Rooms

  • Check for any obstructions to door?

  • Action required?

  • Add media

  • Light fittings in sound conditions? Globes require replacing?

  • Action required?

  • Photo

  • Floor surface in sound condition? Carpet stains require attention?

  • Action required?

  • Photo

  • Furniture in sound condition ( tables, chairs, blinds, bench tops)?

  • Action required?

  • Photo

  • Remove any papers / charts on walls? Photograph before removing.

  • Correct number of chairs as indicated on meeting room name plate. Chairs are all matching colours?

  • Meeting room ID:

  • Notes:

Utility Rooms

  • Check for any obstructions to door?

  • Action required?

  • Photo

  • Light fittings in sound conditions? Globes require replacing?

  • Action required?

  • Photo

  • First Aid cabinet easily accessible?

  • Action required?

  • Photo

  • Equipment in sound condition? Electrical items tested & tagged and current?

  • Action required?

  • Photo

  • Utility Bay ID:

  • Notes:

Working space / Floor plate

  • Checked North and South Emergency Exits to ensure area clear of any obstructions?

  • Action required?

  • Fire extinguishers complaint?

  • Action required? Identify location.

  • Photo

  • Under desk storage of items being trip hazards?

  • Enter Workstation ID

  • Work station
  • Workstation ID

  • Add media

  • Any obstructions or tripping hazards around atrium stairs?

  • Floor or Level?

  • Work station
  • Floor or Level Number?

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.